The risk assessment and predictive value of cytological smear and culture of vaginal discharge in reproductive age group women

Kshama Kedar, Jayesh Mukhi, Rashmi Waghulkar, Mayank Goyal

Abstract


Objective To determine the various causes of vaginal discharge in a tertiary care setting.

Methodology A total of 120 women presenting with vaginal discharge were subjected to cytological diagnosis and confirmed by culture.

Results Out of total 120 women with vaginal discharge, 103 (85.83%) women were found positive for the diagnosis of interest (bacterial vaginosis, candidiasis and trichomoniasis) which were more or less equally divided in the different age groups. Most common reproductive tract infection in study population was bacterial vaginosis (45.8%) followed by candidiasis (25.8%) and trichomoniasis (14.2%). Seventeen (14.2%) women were found to have vaginal discharge without any microbiological evidence.

Conclusion The pattern of infectious causes of vaginal discharge observed in our study was comparable with the other studies in India. Our study emphasizes on importance of specific type of cervical discharge in diagnosing various reproductive tract infections (RTIs). This study highlight the opportunity of simultaneous counselling and assessment of co-existing RTIs which could be present in many of the cases.


Keywords


Reproductive tract infection, vaginal discharge, predictive value

Full Text:

PDF

References


Sobel J. Vaginitis, vulvitis, cervicitis and cutaneous vulval lesions. In: Cohen J, Powderly WG, editors. Infectious Diseases. 2nd ed. Spain: Elsevier; 2004. P. 683-91.

Domeika M, Zhurauskaya L, Savicheva A et al. Guidelines for the laboratory diagnosis of trichomoniasis in East European countries. J Eur Acad Dermatol Venereol. 2010;24:1125- 34.

Thappa DM, Adityan B. Bacterial vaginosis. In: Sharma VK, editor. Sexually Transmitted Diseases and HIV/AIDS. 2nd ed. Delhi: Viva Books; 2009. p. 398-406.

Patel V, Weiss HA, Mabey D et al. The burden and determinants of reproductive tract infections in India: A population based study of women in Goa, India. Sex Transm Infect. 2006;82:243-9.

Bhalla P, Chawla R, Garg S et al. Prevalence of bacterial vaginosis among women in Delhi, India. Indian J Med Res. 2007;125:167-72.

Puri KJ, Madan A, Bajaj K. Incidence of various causes of vaginal discharge among sexually active females in age group 20-40 years. Indian J Dermatol Venereol Leprol. 2003;69:122-5.

Vishwanath S, Talwar V, Prasad R et al. Syndromic management of vaginal discharge among women in a reproductive health clinic in India. Sex Transm Infect. 2000;76:303-6.

Sivaranjini R, Jaisankar TJ, Thappa DM et al. Spectrum of vaginal discharge in a tertiary care setting. Trop Parasitol. 2013;3:135-9.

Fonck K, Kidula N, Jaoko W et al. Validity of the vaginal discharge algorithm among pregnant and nonpregnant women in Nairobi, Kenya. Sex Transm Infect. 2000;76:33-8.

Dan M, Kaneti N, Levin D et al. Vaginitis in a gynecologic practice in Israel: causes and risk factors. Isr Med Assoc J. 2003;5:629-32.

Bansal KM, Singh K, Bhatnagar S. Prevalence of lower RTI among married females in the reproductive age group (15-45 years). Health Popul Perspect Issues. 2001;24:157-63.

Maitra N, Gupta M, Kavishvar A. Vaginal discharge: risk assessment and predictive value of cytologic smears and culture. J Obstet Gynecol India. 2008;58:511-7.


Refbacks

  • There are currently no refbacks.


ISSN: 1560-9014